TODDY JACK CEO NPI 1831493063

NPI Information

Toddy Jack, CEO is a contractor in Arlington, TX. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Toddy Jack, CEO NPI is 1831493063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 ROAD TO SIXFLAGS STREET
144
ARLINGTON, TX
ZIP 76012
Phone: (817) 461-0034
Fax: (817) 461-0035

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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